How much rates vary
Facilitymedian $4,571 · 10th to 90th $3,802 to $20,893Professionalmedian $3,802 · 10th to 90th $1,820 to $6,607
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,548.13 | $3,801.89 | $3,801.89 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4,073.80 Median $4,570.88 Typical High $6,918.31 | Facility | None | $4,073.80 | $4,570.88 | $6,918.31 |
BCBS Minnesota Setting Professional Modifier KM · Facial prosthesis, new mold + KN · Facial prosthesis, prior mold Typical Low $3,715.35 Median $4,677.35 Typical High $4,677.35 | Professional | KM · Facial prosthesis, new mold + KN · Facial prosthesis, prior mold | $3,715.35 | $4,677.35 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $15,488.17 Typical High $38,904.51 | Facility | None | $3,630.78 | $15,488.17 | $38,904.51 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,623.41 Typical High $6,606.93 | Professional | None | $5,248.07 | $5,623.41 | $6,606.93 |
Health Partners Setting Facility Modifier None Typical Low $10,000.00 Median $15,848.93 Typical High $37,153.52 | Facility | None | $10,000.00 | $15,848.93 | $37,153.52 |
Health Partners Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,248.07 | $5,248.07 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $4,570.88 Typical High $21,379.62 | Facility | None | $1,905.46 | $4,570.88 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $3,019.95 Typical High $23,988.33 | Professional | None | $1,698.24 | $3,019.95 | $23,988.33 |
Medica Setting Professional Modifier RR · Rental Typical Low $676.08 Median $977.24 Typical High $1,548.82 | Professional | RR · Rental | $676.08 | $977.24 | $1,548.82 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $1,621.81 Median $2,344.23 Typical High $3,630.78 | Professional | UE · Used equipment | $1,621.81 | $2,344.23 | $3,630.78 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $5,495.41 Typical High $6,606.93 | Facility | None | $4,677.35 | $5,495.41 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,398.83 Typical High $4,073.80 | Professional | None | $1,513.56 | $2,398.83 | $4,073.80 |
United Setting Professional Modifier RR · Rental Typical Low $602.56 Median $954.99 Typical High $1,737.80 | Professional | RR · Rental | $602.56 | $954.99 | $1,737.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $2,238.72 Typical High $4,168.69 | Professional | UE · Used equipment | $1,445.44 | $2,238.72 | $4,168.69 |
7 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | 55 · Aftercare only | $575.44 | $575.44 | $575.44 |
Aetna Setting Facility Modifier KM · Facial prosthesis, new mold Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | KM · Facial prosthesis, new mold | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Facility Modifier KN · Facial prosthesis, prior mold Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | KN · Facial prosthesis, prior mold | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $575.44 Typical High $575.44 | Professional | 55 · Aftercare only | $537.03 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $457.09 Typical High $812.83 | Professional | 56 · Pre-op care only | $194.98 | $457.09 | $812.83 |
Aetna Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | KM · Facial prosthesis, new mold | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | KN · Facial prosthesis, prior mold | $524.81 | $524.81 | $524.81 |
Where Minnesota sits
The same service costs 2.0 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 11th of 51
$3,802
HI $4,898DC $2,399
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.